JANE ANN SMITH DIMER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

JANE ANN SMITH

Last Name

DIMER

Business Name

JANE ANN SMITH DIMER

Original Issue Date

04/29/1992

Effective Date

04/29/1992

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006